Active NPIIndividual provider

Kathleen M Cerkvenik, MD

Pediatrics in Wyckoff, New Jersey

NPI Number1740249671
Practice location
541 Cedar Hill Ave, Wyckoff, NJ 07481-2150
Fax
201-444-6209
Last updated
April 5, 2012

Kathleen M. Cerkvenik is a Pediatrics based in Wyckoff, NJ. Kathleen M. Cerkvenik practices in Wyckoff, NJ and has the professional credentials of MD. The NPI Number for Kathleen M. Cerkvenik is 1740249671 and holds a License No. MA042021 (NJ). The current practice location address for Kathleen M. Cerkvenik is 541 Cedar Hill Ave, Wyckoff, NJ 07481-2150 and can be reached out via phone at 201-652-0300 and via fax at 201-444-6209.

Provider Profile Details

NPI Number
1740249671
Provider Name
Kathleen M. Cerkvenik
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
541 Cedar Hill Ave, Wyckoff, NJ 07481-2150
Phone Number
201-652-0300
Fax Number
201-444-6209
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
March 20, 2006
Last Update Date
April 5, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
541 Cedar Hill Ave
Wyckoff, NJ 07481-2150
Zip
07481-2150
Phone Number
201-652-0300
Fax Number
201-444-6209
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
541 Cedar Hill Avenue
Wyckoff, NJ 07481-2150
City
Wyckoff
State
NJ
Zip
07481-2150
Phone Number
201-445-4630
Fax Number
201-444-6209

License Information

License Number
MA042021
License State
NJ
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathleen M Cerkvenik, MD?

The NPI number of Kathleen M Cerkvenik, MD is 1740249671. It was assigned on March 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Kathleen M Cerkvenik, MD?

Kathleen M Cerkvenik, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number MA042021.

Where does Kathleen M Cerkvenik, MD practice?

The practice location is 541 Cedar Hill Ave, Wyckoff, NJ 07481-2150. The office can be reached at 201-652-0300 (phone) or 201-444-6209 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740249671 directly on the NPPES registry website.

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